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Organization
EDLC, LLC
Active
Organization
EDLC, LLC
Active
Other names
Endocrinology, Diabetes and Longevity Center of Arizona, PLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA FORD (PRACTICE MANAGER)
(480) 513-1042
Entity
Organization
Contact information
Practice address
7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255-7456
(480) 513-1042
(480) 513-1043
Mailing address
PO BOX 27973, SCOTTSDALE, AZ 85255-0149
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/10/2021
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